Modernising Mental Health in Bristol - a case study
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Modernising Mental Health in Bristol - a case study

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This presentation by Dr David Soodeen and Christina Gray describes work to re-design Bristol's mental health services and care pathways in collaboration with people who use services, their carers and ...

This presentation by Dr David Soodeen and Christina Gray describes work to re-design Bristol's mental health services and care pathways in collaboration with people who use services, their carers and families.

The new service is inclusive, locally accountable and Bristol focussed, designed to meet the diverse needs of Bristol’s population.

It aims to:

Work with patients to promote resilience and wellbeing within service design and delivery
Deliver high quality services regardless of age
Consider the wider context of the patient
Recognise and deal with safeguarding issues
Focus on patient outcomes rather than activity (i.e. results rather than numbers)
Eliminate ‘bounce’ – a needs led and ‘yes’ service

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Modernising Mental Health in Bristol - a case study Modernising Mental Health in Bristol - a case study Presentation Transcript

  • Modernising Mental Health in Bristol – a case study Dr David Soodeen and Christina Gray
  • Intelligent Commissioning Approach • What is the issue we want to address? • What is the different knowledge and experience of service users, families and support networks, VCS, people who could not access services,  GP’s,  staff…. • What does the published evidence tell us about best practice, innovation and quality? • What do we know about our population and levels of need?
  • Background • Serious concerns had been expressed by service users and GPs about the existing mental health services over a number of years. • Wide engagement and consultation undertaken from July – September 2011 to understand these concerns in detail • Expert Clinical reference group, including experts by experience, was convened to look at the evidence both of best practice service design and population mental health need • Clear message from consultation with stakeholders and the clinical reference group that we needed to change the way services are delivered
  • Creating reliable intelligence from the data Four different lenses • Place: Whole population and Neighbourhoods • People: Patterns of risk factors within different groups • Diagnostic: Estimated prevalence of mental health disorders • Need and Demand: Estimated demand against estimated prevalence of need looking at each activity / service line
  • Sources of data Place: Population demographics Deprivation and other indices People: Information about risk factors Suicide Audit Diagnostic: Adult Psychiatric Morbidity Survey SMI register Demand and Need: MH Trust activity / OOH/ Ambulance / ED
  • Other data sources GP prescribing MINI Community MH Profiles Local surveys
  • All sources of data have limitations and strengths Valid Timely Complete Reliable Comparable
  • Data considerations - examples for discussion only Valid • • • • • Census (not timely) Suicide trend data (not timely) Adult Psychiatric Morbidity Survey (a sample of the population) SMI Register (people in contact with services only) IAPT data Timely • Annual Quality of Life Survey (a sample of the population only) • Activity data - GP/ MH Trusts/ ambulance (data may not be ‘clean’) • Suicide case audit (timely and complete – but not comparable) • SMI Register (people in contact with services only) • IAPT data Complete • Census (not timely) • Suicide trend Data (? Dependent on coroners verdicts) • IAPT data
  • The result • Work with patients to promote resilience and wellbeing within service design & delivery • Inclusive • Locally accountable and Bristol focussed • Meet  the  diverse  needs  of  Bristol’s  population • Deliver high quality services regardless of age • Consider the wider context of the patient • Recognise and deal with safeguarding issues • Focus on patient outcomes rather than activity (i.e. results rather than numbers) • Eliminate  ‘bounce’  – a  needs  led  and  ‘yes’  service
  • The shape of the new service • • • • • • • Community Mental Health Service Community Rehabilitation Service Specialist Dementia Well Being Service Employment Service Community Access Support Service Assertive Engagement Service Role of GPs